Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Urban Honolulu, Hawaii

Medicare and Medicaid fraud cost Hawaii taxpayers billions of dollars each year. While many medical providers and drug companies are honest and work within the system, there are those who don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower lawyers can assist healthcare workers to submit lawsuits on behalf of the federal or state government to report this type of fraud.

The state and federal governments put a good deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government relies on regular folks in Hawaii to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Urban Honolulu, Hawaii

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the market. We know that stepping forward is hard and many things may be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work relentlessly with both you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Urban Honolulu, Hawaii

Whistleblower statutes in Hawaii make it possible for private citizens or healthcare workers to come forward to report deceptive activity against the state Medicaid program and other county programs. The state of Hawaii has 2 whistleblower laws:

 

The Hawaii False Claims Act permits individuals to bring a qui tam claim against parties involved in deceitful activity on behalf of the state.

 

The False Claims to Counties Act provides for whistleblowers to submit a lawsuit on behalf of counties.

 

Under both Acts, a private citizen has the ability to bring a civil claim on behalf of the state or county if they are aware of individuals or business entities who intentionally present fraudulent claims, misuse government property, neglect to report an incorrect claim discovery, or avoid payments of obligations to the state or counties.

 

In reward for their initiative, a whistleblower can be entitled to receive from 15 to 30 percent of the recovery in a successful claim. Awards may be minimized if the whistleblower participated in the fraud or their information was based upon knowledge revealed in the media or in public hearings.

 

Both Acts also safeguard these people from retaliation by their companies.

Liability of the Defendant in Urban Honolulu, Hawaii

Under both acts, the accused might be ordered to pay up to three times the amount of damage to the state. The offender may also be ordered to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Urban Honolulu, Hawaii

Under both Acts, a whistleblower must submit their complaint within ten years of the date on which the offense occurred.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of Medicaid or other fraud in Urban Honolulu, Hawaii, you might deserve to file a whistleblower lawsuit holding that party liable. Contact Khurana Law Firm for a completely confidential, no-cost assessment to understand your rights and protections under Hawaii whistleblower laws.

What is

Medicare Advantage Fraud

Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:

Upcoding

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Chart reviews

The MA provider reviews charts to add additional diagnosis codes.

Chart mining

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Adding unsupported diagnosis

Coders are directed to add codes based on other information in the chart.

Not removing old diagnosis codes

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Sham RADV audits

The MA provider reviews charts to add additional diagnosis codes.

Incentivizing doctors

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Pre-filling charts

Coders are directed to add codes based on other information in the chart.

If you suspect Medicare Advantage Fraud, you are a healthcare worker in Urban Honolulu, Hawaii, get in touch with us here.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program. 

Who defrauds Medicare?

Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.

How do people and companies commit Medicare fraud?

Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.

How can I help?

If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. If you are a healthcare worker in Urban Honolulu, Hawaii,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Urban Honolulu, Hawaii

If you’ve become aware of fraud that may involve Medicaid or Medicare in Urban Honolulu, Hawaii, you need the advice of a skilled whistleblower lawyer, someone who can make sure that your claim is totally examined and submitted accurately and quickly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, therefore increasing your chances for a reward. Reporting Medicaid and Medicare scams is an intricate matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you have a valid claim, we may represent you in a qui tam suit to help report the scams and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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